| NPI | 1467597609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FLORENCE MOSS Owner 908-237-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ MA053407) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-06-04 |